Conference Registration Form April 23-26, 2015 – Nanaimo, BC □ Name (please print clearly): Address: City – Prov – Postal Code: Register online and pay securely using Paypal at http://conference.htacjm.org/register. NOTE: Paypal charges a fee of 2.9% + $0.30 per transaction. OR □ Telephone: Email: Mail this form & cheque payable to Healing Touch Assoc. of Canada to: Healing Together c/o Ginny Mulhall, 4096 W 8th Ave, Vancouver, BC V6R 1Z6 REGISTRATION FEES (Check appropriate box) Postmarked by Jan. 30, 2015 Postmarked by March 13, 2015 Postmarked after March 13, 2015 HTAC Member – Full Conference $300 $325 $350 Non-member – Full Conference $350 $375 $400 HTAC Member or Non-member – One Day Only $160 $170 $180 Included in Full Conference fee: light dinner on Friday; cold breakfast on Saturday and Sunday; refreshments. Conference Fee (enter price from box above) Banquet Ticket – Number of tickets $ x $65 ea. = $ (Pacific Rim Buffet includes salads, chowder, roast of pork, wild salmon, vegetarian pasta and desserts. Cash bar.) TOTAL: Payment method: □ □ $ I’m including a cheque payable to Healing Touch Association of Canada. I’m paying using Paypal at http://conference.htac-jm.org/Paypal (additional Paypal fees apply). CHOOSE YOUR WORKSHOP PREFERENCES (For each time frame, circle your choices in order of preference.) Circle choices in order of preference FRIDAY, APRIL 24 9 a.m. – 12 p.m. Amazing You: An Introduction to Yourself! (Jeannette Nienaber) Relational Touch (Richard Ferguson) Sacred Self Collage (Michele Fire-River Heart) SATURDAY, APRIL 25 1 1 1 2 2 2 3 3 3 Circle choices in order of preference 10:15 a.m. – 12:15 p.m. Wa AH Wiss: Balance the Medicine Wheel Within (Dan and Tony Elliott) Introduction to the Intuitive Mind Program (Catherine Awai) Healing Touch for Animals (Annette McQueen) 3:30 – 5:30 p.m. What Lies Beneath: How to Ask the Creative Questions (Pietro Abela) Your Healing Journey (Cindy Palajac) Interconnected: Intimate Examination of Quantum Theory (Elke Nowicki) 1 1 1 2 2 2 3 3 3 Circle choices in order of preference 2 2 2 3 3 3 Circle choices in order of preference SUNDAY, APRIL 26 10:15 a.m. – 12:15 p.m. 1 1 1 Rituals of Healing (Vicki Slater) Creative Change (Marlyn Farrell) Healing Together: The Role of Leadership (Rochelle Graham) Are you attending the Instructors’ Meeting on April 23 rd? ............................ Yes .............. No Do you wish to be pinned at the conference? ............................................. Yes .............. No Are you planning to bring a Silent Auction item? ......................................... Yes .............. No May your contact information be included in the participant list? ................ Yes ............. No Do you have food allergies or dietary considerations? ................................. Yes .............. No If yes, please specify: 1 1 1 2 2 2 Circle your choice CANCELLATION POLICY: In the event of a cancellation QUESTIONS? Email: [email protected] after March 15th, a $50 handling fee will be deducted. If the cancellation occurs after April 15th, a $150 fee will be deducted. Phone: Carol Keane | Conference Chair: 250 247 9072 Website: http://conference.htac-jm.org 3 3 3 Conference Registration Form - April 23-26, 2015 – Nanaimo, BC Page 2 Conference Schedule for Your Reference (Note: This schedule is subject to change.) THURSDAY – Instructors’ Day at the Vancouver Island Conference Centre 8:30 – 9:30 a.m. 10 a.m. 12 – 1 p.m. 4 p.m. Breakfast meet and greet Begin session (Facilitator to be determined) Lunch on your own. Explore seaside Nanaimo! Conclusion FRIDAY – At the Vancouver Island Conference Centre 9 a.m. – 12 p.m. Workshop: Michele Fire-River Heart Workshop: Richard Ferguson Workshop: Jeannette Nienaber 12 – 2 p.m. 2 – 3:30 p.m. Lunch on your own. Explore seaside Nanaimo! Keynote Speakers: Dan and Tony Elliott Local vendors will be offering their wares all day in the Conference Centre Hallway Opening Ceremony and AGM 6 – 7 p.m. Simple buffet-style dinner 7 – 8 p.m. Opening ceremony and welcome 8 – 9 p.m. AGM 7 – 9 p.m. Begin ongoing silent auction. Loonie-toonie draw. SATURDAY – At the Vancouver Island Conference Centre 7:30 – 9 a.m. 8 – 9 a.m. 9 - 10 a.m. 10:15 a.m. – 12:15 p.m. Healthy breakfast provided Registration desk is open Keynote Speaker: Pietro Abela Workshop: Dan and Tony Elliott Workshop: Catherine Awai Workshop: Annette McQueen 12:15 – 1:45 p.m. 1:45 – 3:15 p.m. Lunch on your own and self care. Explore seaside Nanaimo! Keynote Speaker: Joel Anderson 3:15 – 3:30 p.m. 3:30 – 5:30 p.m. Break with refreshments Workshop: Pietro Abela Workshop: Cindy Palajac Workshop: Elke Nowicki Healing Together Dinner 6:30 p.m. 7 – 9:30 p.m. 8 - 8:45 p.m. Local vendors will be offering their wares all day in the Conference Centre Hallway Cash bar Pacific Rim Buffet – Final time to bid on silent auction - Loonie-toonie draw - Pinning Ceremony Keynote Speaker: Alexandra Jonsson SUNDAY – At the Vancouver Island Conference Centre 7:30 – 9 a.m. 9 - 10 a.m. Healthy breakfast provided Keynote Speaker: Catherine Awai 10 - 10:15 a.m. 10:15 a.m. – 12:15 p.m. Break with refreshments Workshop: Vicki Slater Workshop: Marlyn Farrell Workshop: Rochelle Graham 12:15 – 1 p.m. Final send off Local vendors will be offering their wares in the morning in the Conference Centre Hallway